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[11] The FDA warning pertains specifically to medullary thyroid carcinoma, not to common thyroid conditions like hypothyroidism or the use of levothyroxine

Access is provided after a proposal has been approved by an independent review committee identified for this purpose and after receiving a signed data sharing agreement

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Therefore, Klinic favors Zepbound, which is approved for weight management and generally has better coverage prospects

Or could it be that this population was low risk and the benefit of spironolactone requires an underlying combination of diabetes, albuminuria, and/or progressive GFR loss to manifest